By Patrick J. Strollo Jr. (auth.), J. Steven Poceta MD, Merrill M. Mitler PhD (eds.)
The dramatic bring up within the occurrence of person sleep disturbances, in addition to in our wisdom in their mechanisms, has made pressing the necessity for a brand new and updated physician's consultant. With contributions from top clinicians, Poceta'sand Mitler's Sleep issues satisfies this desire by means of bringing jointly transparent, concise, and functional suggestion at the prognosis and therapy of the most typical sleep problems encountered normally perform. not just do those hugely skilled writers evaluation such difficulties as obstructive sleep apnea, insomnia, circadian rhythm problems, and narcolepsy, but additionally such vital themes as pediatric sleep problems, the pharmacology of sleep medicinal drugs, diagnostic trying out and expertise, and using vivid gentle remedy in sleep problems and melancholy. all through, the emphasis is on acquiring a correct heritage from a sufferer with a snooze grievance, on rigorously interpreting the on hand diagnostic concepts, and eventually devising applicable remedy options and their healing regimens.
Sleep issues is written for clinicians, by way of clinicians. Its authoritative, up to date remedy, useful procedure, and straightforward accessibility will make it the gold-standard advisor for all fundamental care physicians aspiring to higher diagnose and deal with their sufferers' sleep issues.
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Extra resources for Sleep Disorders: Diagnosis and Treatment
Totowa, NJ 21 Erman 22 define insomnia and to discuss its development and treatment, certain key questions will be addressed. Why do we sleep? How much sleep do we need? What are the health and performance consequences of insufficient sleep? 1. Why Do We Sleep? The answers to this age-old question may range from the complex to the simple. Complex responses may invoke reviews of phylogeny, energy expenditure, and hypotheses regarding brain development, memory storage, the need for repair and nutrition of brain and body, and so forth.
However, a drug-rebound insomnia can occur with short and ultrashort half-life benzodiazepine agents, such as triazolam, especially when used in higher doses. Another important cause of insomnia is stimulant use or abuse. Illicit stimulant drug use can obviously lead to a disturbance ofthis sort, as can Chapter 2 / Insomnia 29 excessive ingestion of tea, coffee, or caffeine-containing over-thecounter stimulants. Legal restrictions and changes in medical practice have limited the extent to which stimulant compounds such as the amphetamines and methylphenidate are now prescribed, but other less tightly controlled compounds are still widely used.
JAMA 1987; 257: 1786-1789. 14. Strohl KP (Chairman), Bonnie RJ, Findley L, et al. Sleep Apnea, Sleepiness, and Driving Risk. Am J Respir Crit Care Med 1994; 150: 1463-1473. 15. Johns MW. A new method for measuring daytime sleepiness: the Epworth Sleepiness Scale. Sleep 1991; 14: 540-545. 16. Aldrich MS, Chauncey JB. Are morning headaches part of obstructive sleep apnea syndrome? Arch Intern Med 1991; 150: 1265-1267. 17. King AC, Oman RF, Brassington OS, Bliwise DL, Haskell WL. Moderate-intensity exercise and self-rated quality of sleep in older adults.